Parasacral Transcutaneous Electrical Nerve Stimulation (TENS) in Pediatric Bladder Dysfunction

Paul J. Guidos; Douglas W. Storm

doi:10.1007/978-3-319-73266-4_15

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Book chapter

Parasacral Transcutaneous Electrical Nerve Stimulation (TENS) in Pediatric Bladder Dysfunction

Paul J. Guidos and Douglas W. Storm

Adult and Pediatric Neuromodulation, pp.207-221

Springer International Publishing

03/21/2018

DOI: 10.1007/978-3-319-73266-4_15

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Abstract

Urinary incontinence, constipation, and recurrent urinary tract infections are common problems in children and constitute upwards of 40% of all pediatric urology office visits. Common treatment for these issues includes timed toileting, anticholinergics, management of constipation with dietary measures or medications, pelvic floor physical therapy, biofeedback and, at times, surgical intervention. Most of these children will demonstrate improvement in their bowel and bladder dysfunction and a decrease in the number of urinary tract infections (UTIs) with these interventions. However, in some children, alternative therapies may be indicated. One of these alternative therapies is parasacral transcutaneous electrical nerve stimulation (PTENS). Although the exact mechanism of action of PTENS remains elusive, multiple studies have shown this to be a successful treatment, which can be used in the treatment of bladder overactivity, constipation, dysfunctional voiding, and nocturnal enuresis in children. In this chapter, we review normal bladder neuroanatomy and physiology, PTENS technique and its theorized mechanism of action, as well as the indications, treatment outcomes, and side effects of PTENS in children.

Bladder dysfunction

Constipation

Overactive bladder

Parasacral electrical stimulation

Pediatric

Urinary incontinence

Urinary urgency

Voiding dysfunction

Details

Title: Subtitle: Parasacral Transcutaneous Electrical Nerve Stimulation (TENS) in Pediatric Bladder Dysfunction
Creators: Paul J. Guidos - University of Iowa
Douglas W. Storm - University of Iowa Hospitals and Clinics
Resource Type: Book chapter
Publication Details: Adult and Pediatric Neuromodulation, pp.207-221
Publisher: Springer International Publishing; Cham
DOI: 10.1007/978-3-319-73266-4_15
Language: English
Date published: 03/21/2018
Academic Unit: Stead Family Department of Pediatrics; Urology
Record Identifier: 9984320069702771

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